Professional Clinical Laboratory
Professional Clinical Laboratory is a Clinical Medical Laboratory in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
432 S San Vicente Blvd # 200A Ste 200Los Angeles, CA 90048-4183
Phone: (310) 360-0066
Fax: (310) 360-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 05D2048878 (CA) |
|---|
Record details
| NPI number | 1881833036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Shayefar — President · (310) 360-0022 |
| NPI enumerated | February 11, 2009 |
| Last updated in NPPES | June 25, 2013 |
| Mailing address | 432 S San Vicente Blvd, Suite 200a, Los Angeles, CA 90048-4183 |
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